Tynbil: Know the *real* price for healthcare services

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $83.18 / $162.18 / $380.19	Facility	26	$83.18	$162.18	$380.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $389.05 / $1,548.82	Professional		$281.84	$389.05	$1,548.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $107.15 / $295.12	Professional	26	$81.28	$107.15	$295.12
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $275.42 / $588.84	Professional	TC	$213.80	$275.42	$588.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $263.03 / $416.87	Professional		$199.53	$263.03	$416.87
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $102.33 / $134.90	Professional	26	$64.57	$102.33	$134.90
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $323.59 / $323.59	Professional	TC	$323.59	$323.59	$323.59
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $416.87 / $501.19	Professional		$416.87	$416.87	$501.19
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $107.15 / $138.04	Professional	26	$102.33	$107.15	$138.04
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $309.03 / $309.03 / $371.54	Professional	TC	$309.03	$309.03	$371.54
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $398.11 / $691.83	Professional		$295.12	$398.11	$691.83
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $114.82 / $186.21	Professional	26	$87.10	$114.82	$186.21
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $281.84 / $501.19	Professional	TC	$208.93	$281.84	$501.19
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $407.38 / $660.69	Professional		$251.19	$407.38	$660.69
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $107.15 / $177.83	Professional	26	$63.10	$107.15	$177.83
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $295.12 / $478.63	Professional	TC	$186.21	$295.12	$478.63
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $416.87 / $630.96	Professional		$309.03	$416.87	$630.96
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $114.82 / $147.91	Professional	26	$85.11	$114.82	$147.91
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $295.12 / $371.54	Professional	TC	$223.87	$295.12	$371.54
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $346.74 / $616.60	Professional		$245.47	$346.74	$616.60
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $97.72 / $181.97	Professional	26	$70.79	$97.72	$181.97
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $245.47 / $436.52	Professional	TC	$177.83	$245.47	$436.52
Highmark BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $1,548.82 / $1,548.82 / $1,548.82	Facility	26	$1,548.82	$1,548.82	$1,548.82
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $380.19 / $407.38	Professional		$331.13	$380.19	$407.38
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $104.71 / $147.91	Professional	26	$93.33	$104.71	$147.91
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $331.13 / $389.05 / $407.38	Professional	TC	$331.13	$389.05	$407.38
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $537.03 / $676.08	Professional		$309.03	$537.03	$676.08
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $107.15 / $138.04	Professional	26	$100.00	$107.15	$138.04
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $309.03 / $398.11	Professional	TC	$251.19	$309.03	$398.11
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $83.18 / $112.20 / $204.17	Facility	26	$83.18	$112.20	$204.17
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $389.05 / $707.95	Professional		$288.40	$389.05	$707.95
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $107.15 / $190.55	Professional	26	$79.43	$107.15	$190.55
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $281.84 / $501.19	Professional	TC	$218.78	$281.84	$501.19
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $323.59 / $645.65	Professional		$95.50	$323.59	$645.65
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $85.11 / $85.11 / $91.20	Facility	26	$85.11	$85.11	$91.20
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $331.13 / $707.95	Professional		$218.78	$331.13	$707.95
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $85.11 / $91.20	Professional	26	$83.18	$85.11	$91.20
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $218.78 / $309.03	Professional	TC	$213.80	$218.78	$309.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $363.08 / $645.65	Professional		$263.03	$363.08	$645.65
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $102.33 / $181.97	Professional	26	$74.13	$102.33	$181.97
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $263.03 / $467.74	Professional	TC	$190.55	$263.03	$467.74

Pennsylvania rates for HCPCS 74177